In a recent Q&A on the FacilityCare website, consultant Brad Keyes answered a question about E Size O2 cylinders with handles.

Q:  We have the new E size oxygen cylinders, called OxyTOTE. They are “grab and go” cylinders with built-in regulators, and on the top there is a very nice carrying handle. These cylinders are more efficient for us for several reasons; however, our staff tends to carry them by the built-in handle instead of having them secured in a cart. According to NFPA 99 (1999) 4-3.5.5.2, only cylinders larger than E size are to be transported using a hand truck or cart. We are hearing that The Joint Commission is not allowing other places to transport these OxyTOTE cylinders by the handles. What are your thoughts?

A: After reviewing the operator’s manual for OxyTOTE cylinders, the handle provided by the manufacturer is intended to be used to transport the E size cylinder. Also, according to NFPA 99 (1999), section 4-3.5.5.2, E size cylinders are not required to be transported on carts or hand trucks, as you pointed out. The Joint Commission does not have a standard that prohibits the OxyTOTE E size cylinders from being transported by grasping the manufacturer-provided handle. Since neither NFPA 99 nor The Joint Commission prevent it, I believe you are perfectly within your right to carry the cylinder by the handle if you wish.

Read the full answer.